Acute/Gen Med

Question 1

LP results:

Turbid, high WCC, v low glucose and high protein?

Answer 1

Bacterial

Question 2

LP results for viral meningitis?

Answer 2

Clear, <1000 lymphocytes, normal glucose, raised protein.

Question 3

What are the main differences between encephalitis and meningitis?

Answer 3

Encephalitis usually reduced GCS and focal neurological signs.

Question 4

What Ix findings might suggest EBV?

Answer 4

Lymphocytosis (high)
abnormal LFT’s
+ive heterophile AB’s (monospot)
positive for EBV-specific antibodies